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Manoj K. Saraswat, MHS, Jonathan T. Magruder, MD, Todd C

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Presentation on theme: "Manoj K. Saraswat, MHS, Jonathan T. Magruder, MD, Todd C"— Presentation transcript:

1 Preoperative Staphylococcus Aureus Screening and Targeted Decolonization in Cardiac Surgery 
Manoj K. Saraswat, MHS, Jonathan T. Magruder, MD, Todd C. Crawford, MD, Julia M. Gardner, BSN, Damon Duquaine, MPH, Marc S. Sussman, MD, Lisa L. Maragakis, MD, MPH, Glenn J. Whitman, MD  The Annals of Thoracic Surgery  Volume 104, Issue 4, Pages (October 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Outcomes of preoperative methicillin-sensitive Staphylococcus aureus/methicillin-resistant Staphylococcus aureus (MRSA) screening with targeted decolonization in preintervention phase (n = 2,826;1,357 coronary artery bypass graft surgery [CABG]) and intervention phase (n = 4,038;1,990 CABG). (A) MRSA colonized admissions rate per 100 admissions; (B) MRSA transmission rate per 1,000 patient-days; and (C) CABG surgical site infection rate per 100 procedures. (IRR = incidence rate ratio; SSI = surgical site infection.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Effect of therapy duration on methicillin-resistant Staphylococcus aureus (MRSA) colonization status on postoperative intensive care unit (ICU) admission of patients who had positive screening results (orange) for MRSA preoperatively (n = 120). (Blue indicates negative screening results.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Supplemental Fig 1 Comparison of covariate imbalance among unmatched cohort (circles) and matched cohort (crosses) of preintervention and missed intervention patients who were included in propensity score generation and matching. Notably, absolute standardized difference of means are all less than 10% in the matched groups of patients. (GFR = glomerular filtration rate; LV = left ventricular.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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